Kelly K. Omalia MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35073030 Issued in OH

Legal business name

KELLY K. OMALIA MD INC.

Doing business as

Bristolville Family Health Center

Practice address

6265 State Route 45
Bristolville, OH 44402-8728

Phone

(330) 889-9009

Fax

(330) 889-9278

NPI assigned

May 31, 2005

Last updated

Feb 11, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Kirsten O'Malia, MDNPI 1376546697

Title

President

Phone

(330) 889-9009

Specialties & licenses 1

Addresses

Other names 1

• BRISTOLVILLE FAMILY HEALTH CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Kirsten O'Malia, MD

  • Family Medicine Physician
  • Bristolville, OH
  • NPI 1376546697
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1184627408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6265 STATE ROUTE 45",
            "address_2": "PO BOX 280",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "444020280",
            "telephone_number": "330-889-9009",
            "fax_number": "330-889-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 STATE ROUTE 45",
            "city": "BRISTOLVILLE",
            "state": "OH",
            "postal_code": "444028728",
            "telephone_number": "330-889-9009",
            "fax_number": "330-889-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY K. OMALIA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "O'MALIA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KIRSTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-889-9009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRISTOLVILLE FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Beachler
• Douglas Benson, RN
• Bristol Local Schools
• Iva Byler
• Heather M Goelz
• Valerie Wilding Lewis, RN
• Kelly Kirsten O'Malia, MD
• Tracy Peterson Jr.
• Gina M Rigg
• Tamara Ann Roembke-Crooks

• Family Medicine Physician in Bristolville, OH
• Providers in Bristolville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.